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BACKWATER VALVE INSPECTION <br /> v CHECKLIST <br /> Property Address: '�2 ( LP 3 ac12. <br /> BWV inspected by: L- Date BWV was Inspected: : 10( 3 l/Li 6 J p <br /> I' `N1 SIKd�R52,VN +�-F.' r!'.dtY5 a w3 4 4JS <br /> Ft4 <br /> v plan_F, J'- J to y pe- o <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? 1Yes ❑ No <br /> Comments: 75 6,r,"e.e-4 <br /> Does BWV positioning meets minimum slope requirement of>1%? ® Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? N,Yes ❑ No <br /> Can BWV be secured into the proper position? EtYes ❑ No <br /> Where is the valve installed (general description, attach map)? 1M <br /> 8 W l/ /15 i.�^- l..Gw 6-"e6-"el P h/ <br /> Is the installed BWV considered an `approved'model by the City of Everett? [ ] Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? Yes ❑ No p L ,,,,av,1 — L ;6 C !� Old <br /> Does this BWV require repair or replacement? ❑ Yes t No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />